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v1.0.0
ICD-10 Guide
ICD-10 CodesH92.2

H92.2

Billable

Otorrhagia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H92.2 is a billable code used to indicate a diagnosis of otorrhagia.

Key Diagnostic Point:

Otorrhagia refers to the presence of blood in the ear canal, which can arise from various underlying conditions affecting the ear and mastoid process. This condition may be associated with trauma, infections such as otitis media or externa, neoplasms, or vascular abnormalities. Clinically, patients may present with symptoms such as ear pain, hearing loss, or a sensation of fullness in the ear. Diagnostic evaluation typically includes a thorough history and physical examination, otoscopic examination, and possibly imaging studies to identify the source of bleeding. Management strategies depend on the underlying cause; for instance, if otorrhagia is due to an infection, appropriate antibiotic therapy may be initiated, while trauma-related cases may require surgical intervention. Understanding the etiology of otorrhagia is crucial for effective treatment and prevention of complications, such as hearing loss or further bleeding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for thorough diagnostic evaluation
  • Differentiation from other ear conditions
  • Potential for surgical intervention

Audit Risk Factors

  • Inadequate documentation of the cause of bleeding
  • Failure to link symptoms with the diagnosis
  • Misuse of related codes
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of present illness, physical examination findings, and results of diagnostic tests.

Common Clinical Scenarios

Patients presenting with ear trauma, chronic otitis media, or post-operative complications.

Billing Considerations

Ensure clear documentation of the source of bleeding and any interventions performed.

Primary Care

Documentation Requirements

Comprehensive patient history, including any recent infections or trauma, and a physical exam focused on ear health.

Common Clinical Scenarios

Patients with acute ear pain and bleeding, often referred to specialists.

Billing Considerations

Document any referrals made and the rationale for further evaluation.

Coding Guidelines

Inclusion Criteria

Use H92.2 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's etiology and associated symptoms
  • Include any relevant history that may impact treatment

Exclusion Criteria

Do NOT use H92.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

When cerumen impaction leads to otorrhagia.

Documentation Requirements

Document the presence of cerumen and the procedure performed.

Specialty Considerations

Otolaryngologists may perform this procedure in conjunction with other evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the ability to capture the nuances of otorrhagia and its underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the ability to capture the nuances of otorrhagia and its underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the ability to capture the nuances of otorrhagia and its underlying causes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between otorrhagia and otorrhea?

Otorrhagia refers specifically to bleeding from the ear, while otorrhea refers to any discharge from the ear, which may or may not include blood.